Burtch examines the transformation of the role of the midwife, particularly the international resurgence of the midwifery movement over the past twenty years. He also looks at contemporary midwifery practice in Canada and the role of the state in shaping and defining that practice. Burtch deals specifically with the qualifications of midwives and the care given by them both in and out of hospital and discusses their legal status, the legacy of competition between nurses and midwives, and the impact of legal actions concerning midwifery practice. He emphasizes the pivotal role of the state in supporting midwifery and discusses the difficulties created by increasing interest in midwifery among expectant women and the social forces that inhibit the establishment of a self-governing midwifery profession.
